HomeMy WebLinkAboutPermit Electrical 2009-10-6
Electrical Authorization To Begin Work
. ,E:..maiied T.o: jackie@bearmountainclectric.com
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~beck on status of permit
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or Email: permitcenter@ci.springfield.or.lIs
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I JobAddress:1l2i CUSTq~ W~Y .... ,.?;' .,':.'.: . .,' ':.' l
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I Cross Street/directions: t~'Jo~ sit~~ Pioneer Phvy 10 Centennial to Custom
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Temp ducto fire
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Name: Tym Maze!
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Phone: 541.9544536!r, '''-'I
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Email:
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I Elee lie. no.: 20.448C CCD lie. DO.: '136298
I Business Name: BEAR MOUNTAIN ELECTRIC LLC!
I Contact: lUr\.+I:('t':..~f'~ . .:,.";,
I Add"''''5388D\t;I;iW;{GSH~fOC:I-I~11 ~'x'PIRF IF THE WORK
l'citylsl"dZld,Y<i~1if9M7~h IIMn~R THI!,; PFRMIT IS NOT
I Phone: ~41ciH-'~f.1~c~~';~~-i~CA -nO I'r!a~ ~li1t,\"~~1~\IFn FOR
j. Emsil: jaclcie@~aTI~Y~\~~fV\C~~ ~ i= RHl n
j Metro lie. no.: City lie. no.:
I Supervising Electrician's Iii:. no.:
Supervising Electrician's Name:
46408
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ChadPerkins"~~
Number of inspections' included in paid services:: .l
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ReSidential Servlce;.f f4f"
Reconnect Only; , 1
. All Other Services:
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Upon review imd approval by your local Jurisdiction, your permit will be
e.mailed or faxed within one business day, with'lnstructions on how to
schedule your Inspection. '
HOlE: This Authorization To Begin Work expi,!s within 180 days if a permit Is
not obtained.
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The local building deparbnent may determine t~at an Authorization To Begin
Work Is null and void if it does not meet applicable land use laws and local
.ordinances' .
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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69600-BEL-09-00167
10/6/2009 2:14 pm
Approval Code: 00583B
DAserviceorf~edelbeginninga!400
Amps where tt1e availabl"fauh
cu;rentexceeds 10,000 Amps at
150 Vohs or less to ground exceeds
14,000 Amps for all other
installations
DFii~pklll1.ps
o EmergencysySlems
o Addition ofaneWlT101or load of
100 HP or more
DSi.xormorer~'sidentialunitsinone
structure.
o Health care facilities
D Haurdous locations
DAserviceorfeederralooaf60D
amps or more
DBuildingsmorethanthreestories
DMarinas and boat yards
DFloatingbuildings
DCommercial-useagricuhura'
buildings
Dlnstallation'ofal50KVAor'arger
seperatelydenvedsys
D"A","E", or "1-2" or "1-3"
DRecreationalVehicleParks
DSUpp'y vo!tage for more than 600
supply vohs nominal
Tolal
ITempserviees 200 umps or less
I Subtotal
1 Stale surcharge (12% of pennit total)
ITechnology fee (5% of permit total)
I TOTAL PERMIT FEE
Cq-1414
$63.00
$63.00
$7.561
$3.151,
S73.7f I,
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ATTENTION: Oregon law requires you 10
foll.ow rules adopted by the Oregon Utility'
NotificatIOn Center. Those rules are set forth
In OAR 952.001.0010 through OAR 952.001-
0090.. You may obtain copies 01 the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Cenler is 1-800.332-2344).
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::B.tatus Issued,
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225 Fifth Sireet; Springfield;' OR,
541-726-3753 Phone '.. <-
541-726-3676 Fax'
541-726-3769 Inspection Line
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CITY OF SrKll~L.FIELD
Building/Combination Permit
PERMIT NO: COM2009-01474
ISSUED: 10/06/2009
APPLIED: 10/06/2009
EXPIRES: 04/06/2010
VALUE:
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SITE ADDRESS::Y:;'1122 CUSTOM WAY Springfield TYPE OF WORK: Electrical Work Only
. ASSESSOR'S,p,A~CE~ NO.: 1703263408200
. . ..../.ft';::'r~.:.:>. "'>C <., TYPE OF USE: New Residential
PROJECTDESCRIPTION;:;.Temp power dne to fire in residence'
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Owner: MAZET TYM ANN
Address: PO BOX ~391 ,.... ,'''''''
EUGENE:;OR 97402'.'
Phone Numher: 541-954-4536'
'I~CONTRACTOR INFORMATION I
;',!: $; . }"~'"
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Contractor Type . ."Contractor
Electrical BEAR MOUNTAIN ELECTRIC LLC
# of Units: . : ;.~-'
Primary Occup~n~y' Group:
Secondary Occupancy Group:
Primary Construction Type
: ' ~ (
Secondary Construction Type:
# of Bedrooms:
License
136298
Expiration Date
08112/20 II
Phone
541-741-8844
" ,BUILDING INFORMATION I
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
. : I DEVELOPMENTINFORMATION I
NOTI~CE:: ':- ' ..\ 'I', '. . ORK ATTENTION: OrR~QUIRED:Rt\:RK1NGto
,''''' 'prRMyf SHALL EXPIRE IF THE W, .~~ '. follow rilles adonted ~y the Oregon Utility
F~ontyard,~~.!.~ack'IZED UNDER THIS PERMIT IS0:v.erlay DlSt.. Notification cent8ToW'\1~e rule.s are set forth
S~de 1 Set~a~k:10.B t .. ABANDONED FOI~ Street ~rees Rqd. in OAR 952.001-off~tI~,IS~~~~?QAR 95?001-
SIde 2 SetliaSI<:N15f1lCEQ. OR IS., Paved DrIve Rqd: 0090. You may 08,2.WP.:'S~les of the rules by
Rearyard ~,~!~a~Js:J DAY PERIOD. r % of Lot Coverage: calling the center. (Note: the telephone
Solar Setbacks: . . . number for the Ore9?n ~!~it.L ~?:ificalion
Street lmprove'!lents: ,.
. .: ~l .,':-
Storm Sewer Available:'
Special Instruction: ,
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Notes:
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Descriotion
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Tyoe of Construction
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I ~UBLICIMPROVEMENTS'
Sidewalk Type:
Downspouts/Drains:
, I yaluation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Date Calculated
Value
Page 1 of2
Status . Iss"!I~d:-!;;i~;:;
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225 Fifth Streei!Sprlngfleld, OR
,: 541-726-3753 Phone',,' ;
;, 541-726~3676 F~b+,j(,
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. 541-726-3769 Inspection Line>
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.+ 12% State Surcharge' .
+ 5% Technology Fee
Temp Power 200 amps or less
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Tota! A~o~ntPaid::"::" '"
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Amount Paid
... $7.56'
$3.15
.) $63.00
$73.71
Total Value of Project
Fees Paid I
Date Paid
I Plan Reviews I
10/6/09
10/6/09
10/6/09
Lit Y OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0147,4
ISSUED: 10/0612009
APPLIED: 10/0612009
EXPIRES: 04/0612010
VALUE:
Receipt Number
1200900000000001116
1200900000000001116
1200900000000001116
To Request an inspection call the 24 ,hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m, will be made the following
work day. '1"'j"':";' . , .;.
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I . ~eou,ir~d I nsrectio~s I
Electric Service: Approval required prior to utility company energizing service.
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By signature, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all
information hereon is true and correct, and'I further certify that any and all work performed shall be done in accordance with
the Ordinances 'of th'e City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and'
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify,thatonly contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree tb ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times ~uring construction.
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Owner or Contractors Signature "
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Page 2 of 2
Date
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225:Fifth Street:;ri'i ;>. .
S~~ihgfield~bri~iiiii97.4n:; /';
.541-726-3759 Phone ,: '.Ch'}'
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIJ:'T,#: .1200900000000001116
Jab/journal Numbe~g.~,;:i. D~~~:~ipti~_'n::::_:;':'~:'~~;,":::f":'
COM2009-01474 'r;;r:rei'np Power 200 amps or less
COM2009-01474 ,,;;,. ,+ 5% Technology Fee
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C0M2009-0 1474<~(,'i'."iH"12% State Surcharge
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Payments:
Type of Payment
ONLINE CHGS
Paid By
ONLINE PERMIT, C;I-lGS
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Date: 10/06/2009
2:43:41PM
Amount Due
63:00
3.15
7.56
$73.71
Item Total:
<":heck Number Au~horization
Received By Batch Number Number How Received
Amount Paid
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ONLINE BEAR
MOUNT AI
N ELECT.
$73.71
Online
Payment Total:
$73.71
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Page 1 of 1
10/6/2009